MARIA ELENA JACKSON


Address: 4601 Dale Rd, Modesto, CA 95356-9718
Phone: 2097357040

MARIA ELENA JACKSON (NPI# 1558849075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558849075
Entity Type Individual
Full Name MARIA ELENA JACKSON
Credential M.S., CCC-SLP
Practice Address 4601 Dale Rd
Modesto
CA 95356-9718
Mailing Address 40 E 27th St
Merced
CA 95340-2934
Practice Telephone 2097357040
Mailing Telephone 2096146731
Enumeration Date 2018-08-06
Last Update Date 2018-08-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 25334 CA Speech, Language and Hearing Service Providers

Other Providers MARIA JACKSON

NPI Name Taxonomy Address Enumeration
1821409020 Maria Jackson Social Worker 1501 N 21st St, Harrisburg, PA 17109-3308 2014-05-11
1104055318 Maria Teresa Jackson Massage Therapist 7455 Washington Street, 210, Las Vegas, NV 89128 2009-07-09
1659854503 Maria D Jackson Counselor 2410 E Riverside Dr Ste G3, Austin, TX 78741-3053 2018-09-06
1811429905 Maria O. Jackson Dentist 5330 E Mockingbird Ln Ste 120, Dallas, TX 75206-0941 2017-03-29
1811145907 Maria Jackson Occupational Therapist 98 Starr Farm Rd, Burlington, VT 05408-1323 2008-09-03
1255497772 Maria Jackson Social Worker 76 Summer St, Haverhill, MA 01830-5814 2006-12-29

Office Location

Street Address 4601 DALE RD
City MODESTO
State CA
Zip Code 95356-9718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912998311 Stephen Matthew Willey Physical Therapist 4601 Dale Rd, Modesto, CA 95356 2005-11-03
1760098263 Paola Ramirez Behavior Technician 4601 Dale Rd, Modesto, CA 95356-9718 2020-09-20
1538772678 Roy Choi Pharmacist 4601 Dale Rd, Modesto, CA 95356-9718 2020-08-28
1730797499 Donna Cruz Pharmacist 4601 Dale Rd, Modesto, CA 95356-9718 2020-07-20
1538777487 Kyle Wesley Hopson Physical Therapist 4601 Dale Rd, Modesto, CA 95356-9718 2020-07-16
1376176313 Su Jin Yeo Pharmacist 4601 Dale Rd, Modesto, CA 95356-9718 2020-02-18
1972135580 Tran Huyen Smernes Pharmacist 4601 Dale Rd, Modesto, CA 95356-9718 2020-02-11
1740827534 Evelyn Kwong Pharmacist 4601 Dale Rd, Modesto, CA 95356-9718 2019-11-29
1467000463 Oanh Hoang Nguyen Phan Nurse Practitioner 4601 Dale Rd, Modesto, CA 95356-9718 2019-09-03
1598311227 Janine Grace Lastimosa Tennant Pharmacist 4601 Dale Rd, Modesto, CA 95356-9718 2019-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649809021 Amelia E Delgadillo Licensed Vocational Nurse 501 Triangle Rd, Modesto, CA 95356 2020-04-07
1689220279 Meagan Veneman Physical Medicine & Rehabilitation 125 Hogue Rd, Modesto, CA 95356 2019-08-10
1497131213 Hermes Guardian Transport Non-emergency Medical Transport (VAN) 4221 Erin Way, Modesto, CA 95356 2015-08-04
1811373640 Melissa Ruiz Marriage & Family Therapist 5815 Stoddard Rd Suite 600, Modesto, CA 95356 2015-08-04
1922242866 Lifecare Solutions Inc Durable Medical Equipment & Medical Supplies 500 Glass Ln Ste H, Modesto, CA 95356 2009-04-22
1659541647 Ashley Allison Streeter Dentist 556 Lyell Dr, Modesto, CA 95356 2008-03-05
1265636013 Margaret Kathleen Grisell Orthopaedic Surgery 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 2007-06-14
1841412111 Bobby Gene Boswell Specialist/Technologist 3908 Vintage Cove, Modesto, CA 95356 2007-05-03
1598892861 Merritt Radiological Medical Group Inc Radiology 526 Charity Way, Modesto, CA 95356 2007-02-27
1396871091 Michael Steven Beck Social Worker 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 2007-02-26
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922622166 Express To Progress Inc. Speech-Language Pathologist 1202 H St Ste D, Modesto, CA 95354-2443 2020-06-03
1952969735 Adriana Duran Speech-Language Pathologist 917 Udona Ln, Modesto, CA 95351-2403 2019-06-05
1538529938 Communication Station, Inc Speech-Language Pathologist 4605 Via Giardiano, Modesto, CA 95357-0661 2016-02-26
1952780033 Ruth Quezada Speech-Language Pathologist 803 Coffee Rd Ste 6, Modesto, CA 95355-4238 2015-05-22
1992040968 Marylyn Sheila Lucas Speech-Language Pathologist 5819 Chenault Dr, Modesto, CA 95356-9621 2012-12-03
1750631719 Loretta Elizabeth Dittrich Speech-Language Pathologist 1809 Savoie Way, Modesto, CA 95356-8947 2012-09-17
1538466230 Vanessa Corinne Anderson Speech-Language Pathologist 202 W Morris Ave, Modesto, CA 95354-0332 2011-02-16
1588979058 Sandra Lee Gaskell Speech-Language Pathologist 3117 Mchenry Ave, B, Modesto, CA 95350-1470 2010-08-09
1821316829 Heather Anne Sellman Speech-Language Pathologist 3220 Coho Dr, Modesto, CA 95355-7903 2010-05-14
1790969699 California Theracare Services Speech-Language Pathologist 5225 Pentecost Dr, Suite 26, Modesto, CA 95356-9284 2007-12-27
Find all providers in MODESTO

Competitor

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City MODESTO
Zip Code 95356

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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